As healthcare payers, tech platforms, and pricing vendors increasingly collaborate through sophisticated analytics, this case is a clear reminder: if you’re coordinating decisions that competitors used to make…
Tag: insurance
Aetna Health v. Radiology Partners and the Danger of Pass-Through Billing
There are, depending upon the particular arrangement, potential end runs around contractual pass-through billing prohibitions, but they are highly fact specific and technical.
More On Overturning the No Surprises Act
It you haven’t yet read it, see my December 16, 2024, post, Now’s The Time to Overturn the No Surprises Act, for part 1 of this thread.
When that post was published on LinkedIn, my friend James Prudden commented, asking me how patients would be protected if the No Surprises Act were repealed. Here’s my response to James.
Now’s The Time to Overturn the No Surprises Act
Re-frame the issue for what it really is: Surprise physician services stealing. Now’s the time for the No Surprises Act, and each state counterpart, to go.
In-Home Emergency Care Will Contribute to Putting Hospitals on Life-Support
What will be left after many more services are pulled out of the hospital?
Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Medical Group Minute
The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.
Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Podcast
The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.
Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle.
The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.
Payor Agreements and Hidden False Claims Act and Criminal Traps – Podcast
Criminal and, at least, serious civil, liability lurks in many neat neighborhoods. Create your own neighborhood watch to make sure that it’s not lurking behind your medical group’s otherwise metaphorical neat lawn.
Ownership Vs. Control: Who Really Owns Your Group? – Success in Motion
Ride along with Mark as he discusses why control might be more valuable than ownership.